Provider Demographics
NPI:1942610282
Name:LEE, ADA (DO)
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:101 NICOLLS RD
Mailing Address - Street 2:HSC T11-080
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794
Mailing Address - Country:US
Mailing Address - Phone:631-444-8115
Mailing Address - Fax:631-444-6045
Practice Address - Street 1:STONY BROOK CHILDREN'S HOSPITAL
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS, HSC T-11, ROOM 080
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8111
Practice Address - Country:US
Practice Address - Phone:631-444-8115
Practice Address - Fax:631-444-6045
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2023-09-08
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Provider Licenses
StateLicense IDTaxonomies
NY288914208000000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics